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Application for Surrendering Service Tax Registration Certificate

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..... ing premises: i.Service Tax Registration No. _______________ ii.Address of the premise _______________ 2. I/ We want to surrender registration for the following reasons. (Specify one of the reason as mentioned at Para 3 of the Trade Notice No. ___________) 3. I/We further declare that we have taken the registration in the year_____. I/We/ Deceased person have paid all service tax dues including the interest or penalty wherever applicable and presently there are no Service Tax dues pending against the registered assessee for which we are making the application for surrender. 4. I/We further declare that we have filed the following returns: Period Return Filed (Yes or No) D .....

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..... ew owner of the erstwhile entity, I/we shall pay the dues and when demanded by the department. 9. I/ We further undertake that as we have taken centralized registration including for the premises mentioned above, we undertake that if any govt., dues are found to be recoverable from the registration mentioned above, we shall pay the service tax dues as and when demanded by the department. 10. We are enclosing print out of online application for surrender duly signed by us along with the copies of ST-3 returns and Profit and Loss account as mentioned above. 11. It is requested to accept application for cancellation of registration in terms of Rule 4 (7) and 4 (8) of Service tax Rules, 1944 as we have complied with the provisions of t .....

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..... ng with Appellate Authorities / Court. If yes, provide following details with regard to each authority as mentioned below, in the prescribed format as under: Authorities Commissioner (Appeals) Tribunal Settlement Commission High Court Supreme Court Address of Branches STC No. Order No. Date appealed against Authority and place where appeal is pending Issue in brief Amount demanded (showing duty penalty separately) Date of filing appeal If filed with Stay Application, the Stay Order No. Date 1 2 3 4 5 .....

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